Client Name
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Date
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/
Month
/
Day
Year
Date
Meeting Attendance
*
Tuesday Life Skills Group Attendance
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Employed
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Place of Employment
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Compliance with General Rules
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Paid Fees this Week? Amount Paid & Due
*
Chore Compliance
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Curfew Compliance
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Family Reunification
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Did the Client get an Incident Report this week
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Goal Achievement Additional Notes - Please review clients goals and report on progress
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